Friday, March 18, 2016
This Is A Very Important Study Which Has Huge Relevance For The Hoped For Success Of The mHR.
This study appeared last week.
March 7, 2016 | By Katie Dvorak
Patients who are over the age of 69 and black or Latino are less likely to use a health organization's online patient portal, and organizations that serve elderly populations should be aware of such disparities, according to a recent study.
Researchers at Kaiser Permanente locations in California and Oregon found that adults older than 69 were "significantly" less likely to have access to a patient portal, according to the study published in the Journal of Medical Internet Research (JMIR). Older patients who did have portal access were less likely to use the tool to send messages, view lab results and refill prescriptions.
The study also found that black and Latino consumers were less likely to use a portal. Only about 26 percent of black members between the ages of 75 and 79 used a portal once, compared to about 56 percent of non-Hispanic white patients.
The researchers survey portal use by 183,565 non-Hispanic white members, 16,898 black members, 12,409 Latino members, 11,896 Filipino members and 6,314 Chinese members, all between 65 and 79 years old.
A recent study in the Journal of the American Medical Informatics Association also found differences in the use of portals by various consumer groups. Of 534 older adults with online patient portal access in the Chicago area, almost all had the access code to register for the portal, but only 57.5 percent actually registered. Men, whites and those with fewer chronic conditions were more likely to register. In addition, the Office of the National Coordinator for Health IT found that while the number of people using IT for their health needs increased "significantly" between 2013 and 2014, socio-demographic disparities remain.
The JMIR study also found that only 31 percent of participants had a smartphone; however, about 80 percent had access to a desktop or laptop computer.
Lots more here:
What this confirms is that in all likelihood many of the elderly and the disadvantaged are going to be very challenged to make use of a portal, even which is more useful and functional than the mHR is ever planned, or can be. Even if you inflict a record on all these people I suspect they will never use it and even if they do, probably won’t understand what they are looking at in many cases.
Given this older population is a key target of the mHR and it is really unlikely it will help many of them this is yet another reason for Government to stop the mHR nonsense and maybe try some properly evidence based approaches to the use of e-Health to assist the care of the elderly.
Posted by Dr David G More MB PhD at Friday, March 18, 2016